Doc. No.

: 26071-100-ETI-HV1-00006

Job No. : 26071 Rev.00B

Work Method Statement

for Scaffolding Procedure

PROJECT : Engineering, Procurement and Construction (EPC) Inside

Battery Limits (ISBL) and Outside Battery Limits (OSBL) for
the Refinery Development Master Plan (RDMP) Project
RU V Balikpapan
LOCATION : Refinery Unit V Balikpapan, East Kalimantan,Indonesia
OWNER : PT PERTAMINA (Persero)

00B 14.12.2021 RE-ISSUED FOR SAHARUDDIN KIM YOUNG I GEDE

REVIEW JO ARYA
00A 10.12.2021 ISSUED FOR SAHARUDDIN KIM YOUNG I GEDE
REVIEW JO ARYA
REV. DATE DESCRIPTION PREPARED REVIEWED CHECKED APPROVED

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REVISION LOG

REV. NO. DATE PAGE DESCRIPTION

00A 10.12.2021 - ISSUED FOR REVIEW
00B 14.12.2021 21,22,23, 24 RE-ISSUED FOR REVIEW

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Table of Contents

1. PURPOSE.........................................................................................................................5

2. SCOPE OF WORK...........................................................................................................5

3. RESPONSIBILITY.............................................................................................................6

3.1 Competent Person............................................................................................................................6

3.2 Construction Manager.....................................................................................................................6

3.3 Scaffolding Supervisor.....................................................................................................................6

3.4 Safety Officer.....................................................................................................................................6

3.5 Competency Scaffold Builders.......................................................................................................6

3.6 All Users..............................................................................................................................................7

4. RELATED RISK.................................................................................................................7

5. REFERENCES....................................................................................................................7

6. WORK INSTRUCTION...................................................................................................7

6.1 Scaffolding definition......................................................................................................................7

6.2 Hazard Identification and prevention when working with scaffolding................................7

6.3 Planning of Scaffolding.................................................................................................................10

6.4 Safety tools and personal protective equipment-minimum requirements.......................15

6.5 Requirements of scaffolding installation..................................................................................16

6.6 Scaffolding Inspection...................................................................................................................24

6.7 Use of Scaffolding..........................................................................................................................24

6.8 Dismantling Scaffolding................................................................................................................25

6.9 Mobile Scaffolding.........................................................................................................................25

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6.10 Rule reconcilement of work Instruction implementation.....................................................26

6.11 Training.............................................................................................................................................26

6.12 Record and reporting....................................................................................................................26

7. APPENDIX.....................................................................................................................27

7.1 Working at Elevated Permit Form..............................................................................................27

7.2 Scaffolding Inspection Form........................................................................................................30

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1. PURPOSE

The purpose of this Method Statement is to explain ETI HVAC Scaffolding Management to ensure a
safe workplace in order for workers to be free from the risk of injury or death.

2. SCOPE OF WORK

This work instruction is applied in the implementation of HSE personnel recruitment in working
location, at the RDMP OSBL and ISBL area, as well as engaging the work units and the parties
concerned.
This work instruction consists of the rules, responsibilities and guidance for safe erection, using,
inspecting and dismantling of the scaffold.

<Layout Plan ETI HVAC Package#1 Area>

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3. RESPONSIBILITY

3.1 Competent Person

A person that has the capability to identify existing and predictable hazards in the surrounding or
working conditions which are unsanitary, hazardous or dangerous to employees and employees
who has authorization to take prompt corrective measures to eliminate them.

3.2 Construction Manager

 To ensure that all scaffolding works that will be performed at site is with approved
Scaffolding Permit signed by respective personnel.
 To monitor scaffolding operation, take necessary action to enforce safe scaffolding
practices.
 To ensure that the scaffolding team adhere to the recognize standard or code of practices
with respect to the material, erection and maintenance of scaffolds.
 Not to allow any person to use a scaffold that is not inspected and certified to be safe to use or
does not conform to the requirements and standards.

3.3 Scaffolding Supervisor

 To inspect and approve/disapprove erected scaffolds prior to their use.
 To erect scaffolds based on verified/certified plans/drawings.
 To carry out regular quality control checks on scaffolding materials and on erected scaffolds.
 To check the integrity of scaffolds if maintained and not detective on a daily basis.
 To report to Construction Manager any unauthorized use or unauthorized modification of
scaffolds, and prevent the use of such scaffolding until the scaffolding has been corrected.
 To ensure safe dismantling of scaffolding and proper site clearance upon completion of the job.

3.4 Safety Officer

 To ensure safe erection, using, dismantling, inspecting and provide training of the scaffold.

3.5 Competency Scaffold Builders

 To erect and dismantle scaffold platform in a safe manner based on the provided work permit
with approved scaffold plan/ design/ drawings.
 To construct and/or modify scaffolding platform with direct supervision from scaffolding
supervisor or equivalent.

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3.6 All Users

 To ensure at all times that scaffolding is safe prior to use and must not be modified by
unauthorized personnel.
 To report defect and unauthorized modifications of the scaffolding to the scaffolding
supervisor.

4. RELATED RISK

Violation/ deviations from this work instruction can potentially cause incidents in work activities related
to scaffolding.

5. REFERENCES

 Project HSE Plan for Balikpapan RDMP Project

 Refer Scaffolding Procedure for Balikpapan RDMP Project
 AS 1576.3
 ANSI Standard A 14.1-1990, Safety Requirement for Portable Wood Ladders
 ANSI Standard A 14.2-1990, Safety Requirement for Portable Metal Ladders
 ANSI Standard A10.8-1988, American National Standard for Construction and Demolition
Operations-Scaffolding-Safety-Requirements.
 The Scaffolding Code of Practice-2004, Dept. of industrial Relations, Queensland Government
 Japan Industrial Standard (JIS)
 OSHA Standard 29 CFR 1926, Subpart M, fall protection.

6. WORK INSTRUCTION

6.1 Scaffolding definition.

Scaffolding means any tower, temporary work platform and its supporting structure used for
supporting workers, or materials, or both which enables a variety of tasks to be carried out at
height.
Many Construction activities may present personal hazards to workers. Scaffolding and access
equipment provides a working platform, which enables a variety of work tasks to be carried out
at height. Structures and platforms shall be built, inspected and maintained in such a way as to
allow the work to be completed safely, they should be properly constructed, and provide adequate
space for workers and equipment.
The use of boards, tube, fittings, or other components which are not purposely designed for
scaffold or access equipment shall be prohibited.

6.2 Hazard Identification and prevention when working with scaffolding.

The potential hazards while working with scaffolding include; working near power lines,
mobilization of tools, suitability and compatibility of scaffold component, falls from heights,
failing of objects, scaffold collapse, and manual task.
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6.2.1. Work near power lines

Attention must be taken while doing scaffolding work in close proximity to bare and
insulated electrical lines and hidden electrical cables (for example, cables concealed
behind a surface where an anchor is to be fitted). When work is to be performed
around electrical parts the Scaffolding must not be put up within 4, 5 meters, in any
level direction, and 6 meters in any overhead direction of electric power lines unless
special permission is given by the Line Owner. (Refer to Doc no. 26071-100-GPP-
GHX-00021, phase 6.2.1)

6.2.2. Mobile plant and vehicular traffic in working area

Mobile plant and vehicular traffic are hazards whish can potentially affect worker
safety and the safe use and structural integrity of scaffolding. Outlined below are
control measures that can be used to prevent or minimize exposure to the risk of
death or injury from moving plant and traffic.
 Re-route motor vehicles and mobile plant away from the location of the
scaffold, for example, by using traffic controllers.
 Use barricades, signs, posts, buffer rails, or guards to prevent mobile plant
and traffic from coming into contact with scaffolding.
 Ensure scaffolding does not have any unnecessary protrusions, such as over-
length transoms, putlogs, and tie tubes or over –height standards.

6.2.3. Mixing and matching scaffold component

Components from different manufacturers or suppliers, even looking compatible, are
often in different dimensions and tolerances. Mixing and matching incompatible
scaffold components can lead to difficulties in disassembling which in turn may
increase the risk of musculoskeletal injury, and affect the load capacity of the
scaffold.

6.2.4. Fall from heights

a) The following are facto cause worker to fall from height or scaffolding
 Poor weather conditions, such as: Strong wind that may cause workers to
lose balance. Rain causing a slippery work surface. Glare emitted from work
surfaces and/or poor lighting affecting visibility;
 Void areas not identified or protected, for example, ladder access voids.
 Incomplete scaffolds or loose scaffold components while working occurred,
such as no toe board, no hand rail and mid rail, and then incomplete access.
 Employee does not wear any appropriate personal protective equipment.
b) The risk control of fall from height such as:
 Scaffolding activity need to be covered with permit work.
 Scaffolding supervisor who will execute the job has the responsibility to
conduct permit to work and coordinate with scaffolding inspector.
 Scaffolding inspector has to provide sign (tagging) to each scaffold at his
work place.

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 Workers are prohibited to use scaffold unless it has been inspected and
declared safe by scaffolding inspector.
 When the weather being worse such as strong wind or rain, any job have
to be stopped and workers have to go down with safe access.
 Workers are prohibited to conduct short cut while using scaffold.
 Workers have to use full body harness and tie up its hook onto the hand rails
properly while working or moving.
 If the job will be conducted at night, adequate lighting shall be provide and
used with proper lighting equipment which is in accordance with electrical
safety work instruction to prevent electrical hazard.

6.2.5. Being hit by falling objects

The following are examples of controls that may be used to prevent or minimize
exposure to the risk of being hit by falling objects.
a) Establish exclusion Zones around scaffolding and adjoining areas to prevent
unauthorized persons from accessing the area.
b) Use perimeter containment screening such as net to catch falling objects.
c) Dropping and throwing materials from a scaffold are prohibited- use mechanical
hoists when lowering materials (e.g. gin wheel and rope, crane, etc.)
d) Attach danger tags and warning signs such as ‘keep Out-falling Objects’ and
‘Danger- incomplete Scaffolding’ and barricade in obvious locations to warn
persons of hazards.
e) When building a scaffold, scaffolder have to provide barricade, sign and
prohibited to stacking scaffold material such as clamp and pipe in scaffold
structure.
f) Always use safety helmets to prevent objects falling on the head directly.

6.2.6. Scaffold could be collapsed because of:

a) Ignored provision or standard of scaffold erection.
b) Loading man and material exceed scaffold load capacity.
c) Physical impact (hit by vehicle and heavy equipment, hit by heavy material
while installed or lifted).
d) Weather, natural disaster and other factors that need to be respected after heavy
rain or flooding that will cause erosion and affect the strength of the foundation
of scaffold.
e) Substandard scaffolding being used.

6.2.7. Manual task

a) Store scaffolding components as close as possible to working area in order to
minimize the distance over manual lifting.

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b) Clear access should also be ensured to facilitate scaffold materials movement.

c) Avoid using different types of scaffolding together as increased force may be
required to assemble and dismantle components that are not made to fit together.
d) Use mechanical equipment such as cranes, hoist, pallet jacks or trolleys to move
equipment and materials wherever possible.
e) Use electrical winches (preferred) or gin wheels to lift components up the
scaffold.
f) Ensure there are adequate numbers of workers to meet deadlines.
g) Workers shall be provided with education and training in relation to the
performance of manual tasks. This includes training in the correct use of
mechanical devices, tool, and equipment’s.
h) Clean and maintain tools, equipment’s and scaffolding components regularly.

6.3 Planning of Scaffolding

The scaffold plan shall be prepared and provided by the employees who build the scaffold. The
scaffold plan shall include a site layout plan and details of the elevations and sections of the
scaffold. It is to be made available for inspection at the worksite. The scaffold plan shall contain as
follows: material selection, general design, basis of design. Foundations (including ground
conditions and loadings), supporting structure, stability, tying, working platform, planks, access
egress and edge protection, and ladder.

6.3.1. Material selection

a) Specification for steel pipe, couplers and accessories shall comply with JIS
requirements. Refer to Construction Execution Plan for the detail of scaffolding
material selection.
b) Scaffolding material shall be galvanized, not rusted, bended/damaged as JIS
Standard (Diameter 48,3, Thickness 2,4-4mm)
c) The following are general requirements for metal tubes and fittings:
 Metal tubes must be made with outside diameters accurately gauged to fit
properly into metal couplings and to allow complete interchangeability.
 Tubes shall normally be supplied with a maximum length of 6.4 meters and
made available in shorter lengths by request.
 Tubes in use on a scaffold must be in good condition, free from bends and
defects that might affect strength, reasonably free from corrosion.
 When the loss of metal by corrosion or other causes reduces any cross
section of a tube so that its corresponding weight is less than 90 percent of
its original weight, the affected length of tube is to be discarded and
rendered unfit for further use in scaffolding.

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 Steel tubes must be hot-dipped galvanized when used in scaffolds which are
exposed for prolonged periods to marine or corrosive atmosphere.
 Hot dipped galvanized, painted or unprotected tube may be used in
scaffolding structures. Unprotected steel tube shall not be used in water and
particularly not in marine structures.
 Fitting and couplings must be specially made for tubes in use and must be
meet the satisfactory quality for strength and performance.
 Scaffold couplers and other fittings should, when new, comply with the
requirements of the relevant standards. The nuts should be run on their bolts
to ascertain that they have a free – running fit.
 Fitting must be carefully maintained in good order and condition. They must
not be left lying around but stored in bags, boxes or bins, and kept well-oiled
and protected from rusting.
 Special attention must be given to maintenance and checking of screw
threads and nuts, distorted parts must be discarded or replaced, Cracks or
other flaws must be concerned.

6.3.2. General Design

a) The design of the scaffold shall consider:
 The strength, stability and rigidity of the supporting structure.
 The intended use and application of the scaffold.
 Details of structural support (ties).
 Ground conditions or details of the structure supporting the scaffold,
 Access requirements.
 Location of power lines.
 The safety of persons engaged in the erection, alternation and dismantling
of the scaffold.
 The safety of persons using the scaffold; and
 The safety of persons in the vicinity of the scaffold.

b) The following are the components of the scaffolding:

 Standards are the vertical tubes that transfer the entire mass of the structure
to the ground. Shall be completed with sole plate and base plate.
 Ledgers are horizontal tubes which connect the standards.
 Transom is a horizontal structural member transversely spanning an
independent scaffold between standards.
 Bay is the space enclosed by four adjacent standards (vertical members), or
the equivalent space in a single-pole scaffold.
 Ladder is an appliance on which a person may ascend or descend, consisting
of two stiles joined at regular intervals by cross-pieces (eg. Cleats, rungs,
steps, treads).

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 Sole plate is a member used to distribute a load through a baseplate to the

ground or other supporting structure.
 Baseplate is a metal plate that is able to distribute the load from a
standard.
 Ties is member used to tie the scaffold to a supporting structure.
 Lift is the vertical distance between adjacent ledgers. Maximum height is 2
meters.
 Toe board is a scaffold plank or purpose-designed component fixed on edge
at the edge of a platform, to prevent material falling from the platform. Toe
board height minimum 10 cm or 4 inch (CFR 1910.28,1991)
 Guard rail is a structural member to prevent persons from falling off any
platform, walkway, stairway or landing.

6.3.3. Basic Design

The scaffold design plan or drawing is to include the following: Layout, Bracing,
Tie locations and method, ladder locations, distance from structure or workface,
specific erection sequence when applicable, loadings (duty classification), and
public protection.

6.3.4. Foundations
Scaffolding foundations must be able to carry and distribute all the weight of the
scaffold, including any extra loads with consideration as follows:
a) Ground Conditions
Water and nearby excavations may lead to soil subsidence and the collapse of
scaffold. Any like watercourse, which has the potential to create a wash out
under the scaffold base, should be diverted away from the scaffold.
b) Loadings
The dead, live and environmental loads will need to be calculated during the
design stage to ensure the supporting structure and the lower standards are
capable of supporting the loads.
c) Environmental Loads
Consider environmental loads, particularly the effect of wind and rain on the
scaffold.
d) Dead loads
Dead loads refer to the self-weight of the scaffold structure and components
including any working.
e) Live loads
The live loads includes the weight of persons, materials, tools and equipment
impact forces.

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6.3.5. Supporting Structure

Sole plate can be used to evenly distribute the load from the scaffold to the
supporting surface. Sole plate may be required for use on less stable surfaces, such
as oil, gravel, fill or other product
The size of the soleplate will vary depending on the supporting surface. Soleplate
should be level and some digging may be required to obtain a level surface.

6.3.6. Stability
Scaffold stability may be achieved by:
a) Tying the scaffold to a supporting structure;
b) Increasing the dead load by securely attaching counter weights near the base;
and
c) Expand easel scaffold by installing an outrigger.

6.3.7. Tying
Ties should not obstruct access along the working and access platforms. Ties should
interconnect with both the inner and outer scaffold standards to increase the rigidity
of scaffold.

6.3.8. Working platforms

The choice of a scaffold platform depends on the type of work being performed and
the task being undertaken. Before a platform material is selected, an assessment
must be made of the weight of workers, tools and maintains to be supported by the
decking.
Scaffolds should not be used to support formwork and plant, such as hoist towers
and concrete pumping equipment, unless the scaffold is specifically designed for this
purpose.
Each scaffold should be designed to carry the required number of working platforms
and to support its live loads.
Scaffolding working platforms design is divided into three categories based on live
load sustained by each bay:
Design total load Minimum Width of Length (distance)
(kg per platform platform Transom Ledger
per bay) (mm) (m) (m)
Light duty 225 1000 2,4 3,0
Medium duty 450 900 1,8 2,4
Heavy Duty 675 450 1,275 1,8

6.3.9. Planks
Scaffold planks should
a) Have a slip-resistant surface.

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b) Not be cracked or splinted.

c) Have the same thickness.
d) Softwood scaffold planks shall not be less than 225 mm wide and 38 mm thick.
e) Hardwood scaffold planks shall not be less than 225 mm wide and 50 mm thick.
f) Planks are positioned so that no single gap between planks exceed 25 mm and
the total gap between all planks does not exceed 50mm.
g) Planks should not be over lapped.
h) Planks shall be tightened by wire rope properly.

6.3.10. Access and Egress

a) Workers must be provided with safe access to and egress from scaffold during
the erection, use and dismantling of scaffolding. Common means of access and
egress include; temporary stairs or portable ladder access systems installed at the
start of erection, whenever possible;
b) The access equipment should be provided with acceptable access, such as
staircases, which form part of the structure, or secured to it. Where internal
access is required trapdoors shall be provided.
c) All general access scaffoldings, towers, and platforms at a height greater than
1.8 meters (6 feet) shall be equipped with platform floors and guardrail on its
open sides. Floors will be covered with good quality scaffolding boards, and
surrounded by toe boards to prevent fall of workers and/or materials. All
structures shall be sufficiently braced with cross-members in all planes so as to
distribute the weight evenly and prevent twisting.

6.3.11. Ladders
Ladder is an appliance on which a person may ascend, consisting of two stiles joined
at regular intervals by cross-pieces (e.g. Cleats, rungs, steps, treads).
When working at height above 1.8 meters, appropriate access equipment shall be
provided including ladders.
The following are additional safe work practices which should be followed when
working on ladders:
1. Ladders may be used where access to the working platform is needed by only a
few persons, and where tools and equipment can be delivered separately to the
working platform (for example, by materials hoist, crane or a rope and gin
wheel).
2. If the access bay is part of the working platform, a trap door is to be provided.
Strict control are to be implemented to ensure the trap door remains closed while
working from the platform.

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3. Ladders shall be pitched at a slope of not less than one horizontally to four
vertically and not more than one horizontally to six vertically. Unless for first
lift.
4. A landing point for rest purposes is required every exceeding 20 feet or 6, 1
meters (CFR 1910.27, 1991).
5. Both hands must be free to hold guardrails or ladder rail. Do not carry tools or
materials by hand when climbing ladders, wear a tool belt and pouch and move
material up or down by rope. Three- point contact should always be used when
climbing ladders. This mean using two hands and one foot or two feet and one
hand to maintain contact with the ladder at all times.

6.4 Safety tools and personal protective equipment-minimum requirements

In addition to the standard PPE requirements for hard hat, stingless safety shoes and hand
gloves as applicable, the following PPE and any other requirement are:

6.4.1. Safety Full Body Harness

Safety full body harnesses, double lanyards, lifeline, and drop-lines should comply
with ANSI A10.14 specification or equivalent.
Personnel that works on scaffoldings and other access equipment shall have a full
body harness tied to a point which is located at a different location point to that of
the scaffolding and should be above their head.
Hook Lanyard shall be tightened or tied when working on, equipment/piping
installation or when erecting metal scaffolding overhead with the possibility of
workers falling.
Safety full body harness double lanyards shall be used when working more than 1.8
meters overhead and working on the hull of a boat.
Personnel should not work with lifeline of too much length as this can cause injuries
by sharp pulls or by blows against structures in the event of a fall.

6.4.2. Safety Net

Safety nets shall be installed as close as practicable under the walking/working

surface on which employees are working, but in no case more than 30 feet (9, 1 m)
below such level. When nets are used on bridges, the potential fall area from the
walking/working surface to the net shall be unobstructed.
Defective nets shall not be used. Safety nets shall be inspected at least once a week
for wear, damage, and other deterioration. Safety nets shall also be inspected after
any occurrence which could affect the integrity of the safety nets system.

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Materials, scrap pieces, equipment, and tools which have fallen into the safety net
shall be removed as soon as possible from the net and at least before the next work
shift.
Safety nets are only used for the protection from falling objects from heights, not
used for the protection of workers from falling down from the heights.

6.4.3. Work Live Vest

Work live vest must be used when working or doing something in any place with the
possibility of personnel falling into the sea such as over the side of platform, barges,
jetties, boat work or any other area requiring- over the side scaffolding or access
work.
When the construction activities to be carried out close by water or river with
deepness more than 1, 5 meters than potential to increase the risk of accident, work
vest is mandatory to be used.

6.4.4. Fast Rescue Craft

Fast rescue craft must be present, prepared and ready to launch, when working or
doing something in any place with the possibility of personnel falling into the sea
such as over the side of platform, barges, jetties, boat work or any other area
requiring- over the side scaffolding or access work. No such work my start until such
time as the craft is ready.

6.5 Requirements of scaffolding installation

a) Erection of scaffolds must be supervised by a person who is a ‘Competent
Scaffolder/ Certified’.
b) Scaffolders must attach to the first lift of scaffold a Red Tag Holder which reads ‘DO
NOT USE SCAFFOLD’.
c) They must install and secure all necessary ties, props and bracing as the scaffold
progresses upwards.
d) Any Scaffolding frame, stair, platform or stay that is damaged, bent, has welding defects
or missing cross-brace pins must not be used.
e) The following additional safe work practices should be followed when erecting
scaffold.
 All scaffold component should be installed as the scaffold is erected. For
example, the installation of all bracing and ties:
 Develop a methodical work sequence if more than one worker will be on the
scaffold at the one time: allocate specific task to each scaffolder.
 Do not climb on guardrail to gain extra height.
 Install temporary platform as foot stand when to extend height of scaffolding.
Install it also when stand on pipe which prohibited.

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6.5.1. Erection Step of the independent Scaffolding:

A Base Plate

Standard must be installed on top of base plate or

wood (sole plate) to avoid standard sinking when
loaded. Standard must be erected vertically.

Base Plate & Tiang (Standard)

B Ledger

Installed horizontally using dead clamp (right

angle coupler) to standard (horizontal brace).

Ledger

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C Transom (pipa Melintang)

Installed using dead clamp to standard and at

inner side of standard or a horizontal cross-
section load-bearing component which holds the
batten, board, or decking unit.

Transom

D Bracing

Installed diagonally with a life clamp (swivel

coupler) at the standard and in the outside of the
standard.

Brace

E Ladder

Can be installed on one side. Can be made of

aluminum, it is recommended to use the
fabrication stairs that the distance between the
rungs is no more than 12 inches.

Put log Ladder

As a buffer ladder, fastened with a dead clamp on

the two sides of the ledger

Ladder

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F Putlog bearer

As the transom in the middle of the bay to buffer

board/plank, connected on the two sides of the
ledger

Putlog Bearer

G Plank (work floor boards)

The working floor will be installed above the

ledger pipe / Transom pipe tied with wire to
ledger pipe / transom pipe.
Softwood scaffold planks shall not be less than
225 mm wide and 38 mm thick.
Hardwood scaffold planks shall not be less than
225 mm wide and 50 mm thick.
Planks are positioned so that no single gap
between planks exceeds 25 mm and the total gap
between all planks does not exceed 50 mm.
Plank

H Guard Rail

Height 900-1000mm from the surface of the

platform. Mid rail placement is in the middle of
between guard rail and platform.

Trap Door/ protective door on the guard rail can

be open and closed (swivel coupler at the one
end, the other end is not clamped)

Guard rail & Mid rail

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I Toe Board

Installed on all side of the platform. The

minimum height is 150mm. The gap between the
surface of platform and toe board is 10 mm
maximum.

Toe Board

Independent Heavy Duty Scaffolding

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6.5.2. Erection Step of the Mobile Scaffolding:

A Castor Wheel

Standard must be installed on top of castor

wheel to avoid standard sinking when loaded.
Standard must be erected vertically.

Castor Wheel & Tiang (Standard)

B Ledger

Installed horizontally using dead clamp (right

angle coupler) to standard (horizontal brace).

Ledger

C Transom (pipa Melintang)

Installed using dead clamp to standard and at

inner side of standard or a horizontal cross-
section load-bearing component which holds
the batten, board, or decking unit.

Transom

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D Bracing

Installed diagonally with a life clamp (swivel

coupler) at the standard and in the outside of
the standard.

Brace

E Ladder

Can be installed on one side. Can be made of

aluminum, it is recommended to use the
fabrication stairs that the distance between
the rungs is no more than 12 inches.

Put log Ladder

As a buffer ladder, fastened with a dead

clamp on the two sides of the ledger

Ledder

F Putlog bearer

As the transom in the middle of the bay to

buffer board/plank, connected on the two
sides of the ledger

Putlog Bearer
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G Plank (work floor boards)

The working floor will be installed above the

ledger pipe / Transom pipe tied with wire to
ledger pipe / transom pipe.
Softwood scaffold planks shall not be less
than 225 mm wide and 38 mm thick.
Hardwood scaffold planks shall not be less
than 225 mm wide and 50 mm thick.
Planks are positioned so that no single gap
between planks exceeds 25 mm and the total
gap between all planks does not exceed 50
mm.
Plank

H Guard Rail

Height 900-1000mm from the surface of the

platform. Mid rail placement is in the middle
of between guard rail and platform.

Trap Door/ protective door on the guard rail

can be open and closed (swivel coupler at the
one end, the other end is not clamped)

Guard rail & Mid rail

I Toe Board

Installed on all side of the platform. The

minimum height is 150mm. The gap between
the surface of platform and toe board is 10
mm maximum.

Toe Board

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6.6 Scaffolding Inspection

a) Scaffolds will be inspected by scaffold inspector who has capability to access and consider
load, strength and stability.
b) Check lists have to be prepared for the inspection of use, erection and dismantling of
equipment. Safe working load must take into account the weight of all equipment, consumable,
the scaffolding itself, its fittings and boards and the weight of the personnel who use it.
c) Scaffolds must not be used until they have been inspected and certified as safe and fit for use.
d) If the scaffold is certified as safe, the person inspecting it will sign and date the green tag
(Safe) and place it in the holder.
e) At no time is any scaffold to be used that not have a Green Tag in the Tag Holder.
f) Scaffolds will be re-inspected every week, or after bad weather. A thorough check of
foundations is also to be made. The person doing the inspection of the scaffold will record the
date and their signature on the back of the Green Tag after each inspection.
g) If the scaffold is found to be unsafe, the inspector will remove the Green tag from the tag
holder, which will expose the Red Tag underneath showing the words “ DO NOT USE
SCAFFOLD”.
h) The scaffold can only be used again after it has been made safe and the person
inspecting it has replaced the green Tag into the tag holder.

6.7 Use of Scaffolding

a) Workers using scaffolds must not hurry when going up or down a scaffold.
b) Access scaffolds shall be provided with lighting lamp adequately when job will be
executed at night.
c) Materials, tool, and other obstructions must not block the scaffold access routes and
staircases.
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d) Do not overload scaffolds with heavy load. Spread load out and do not exceed the safe
carrying load of the scaffold.
e) Scaffolds are to be kept clean at all times. Wash off any mud, oil or grease.
f) Hands are to be kept free to hold onto safety handrail. Material shall be lifted up by
rope or hoist.
g) Defects are to be reported to the supervisor immediately. The supervisor must ensure
that the scaffold is taken out of use, made safe and re-inspected.
h) Employees are prohibited strictly to change or remove items of scaffolding such as rail,
net, toe boards or inspection tags, unless conducted by scaffolder and under supervision
by scaffolding supervisor and scaffolding inspector.

6.8 Dismantling Scaffolding

a) Ties, props and bracing must only be removed as the scaffold comes down to that
level, to ensure stability of the scaffold at all times.
b) Scaffold element must be carefully lowered to the ground. Never throw them down.
c) Scaffold element must be carefully handled and stacked to avoid damage and
twisting.

6.9 Mobile Scaffolding

d) Mobile scaffolding shall have permission to be used only at indoor and/or inside
building area.
e) This scaffold should only be used with the prior consent of the HSE Inspector
(scaffolding) and only could use on firm and flat/level ground condition.
f) The height of a mobile scaffold, from the bottom part of scaffold, should be no greater
than three times of base dimension. Unless specified by the manufacturer, supplier or
designer.
g) Scaffold legs or castors shall not be used on wooden sole plate in order to level the
scaffold.
h) The duty of mobile scaffold platform shell be no greater than 200kg.
i) Use a secure internal ladder with a protected opening (for example, a hinged trap door)
for access and egress to and from the platform.
j) Use castors that have the working load limit clearly marked.
k) Brakes on castors are to be locked at all times unless moving the scaffold.

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l) Mobile scaffolding tower shall be attached out rigger and jack base in order to
reinforce stability of mobile scaffold tower.
m) Before moving mobile scaffold check that:
 There are no power lines or other overhead obstructions.
 The ground is firm and level.
 No person is on the scaffold.
 No equipment and the surface is free of obstructions (a small obstruction may
cause a mobile scaffold to overturn).

6.10 Rule reconcilement of work Instruction implementation

When on site had difficulty to apply standard of scaffolding based on above reference, we
invite for use the other reference however, it should be meet requirement of scaffolding
properly and completely component such as toe board, railing (hand rail and mid rail),
ladder, bracing, tie box, outrigger, putlog and also was conducted strength and stability
calculation by inspector scaffolding whose scaffolding certificate issued by DEPNAKER.
Scaffold material shall be proper to use and have certificate from company who produce and
attached safe working load.
Calculation and fitting scaffold shall be presented or expressed by scaffold designer to
client, in order obtain to approval from client or owner.

6.11 Training
All contractors and subcontractors are strongly recommended to send all workers
responsible for scaffolding to the authorized bodies Scaffolding Course or any other training
providers recognized by the Indonesian Government.

6.12 Record and reporting

All documents concerning the use of scaffolding, installation, dismantling, inspection
records, etc. should be stored in a special bantex to facilitate reporting when needed.
Documents that are saved should not be removed before the project ends.

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7. APPENDIX

7.1 Working at Elevated Permit Form

WORKING AT ELEVATED AREA PERMIT /IJIN KERJA DIKETINGGIAN (OVER/DIATAS 1,8 METER)

Date / Tanggal

Duration / Waktu

Type of Works / Jenis Pekerjaan

Location / Lokasi

KOLOM KESELAMATAN DI BAWAH INI HARUS DIISI OLEH PENGAWAS PEKERJAAN/ FILL BY SUPERVISOR

YES/ NO/ REMARKS/

NO DESCRIPTIONS / URAIAN
YA TIDAK KETERANGAN

1 Apakah pekerja sudah di beri penjelasan secara detail

mengenai pekerjaan yang akan dilakukan.
Did the employees have been told in detail about their
jobs?

2 Apakah pekerja sudah diberi tahu tentang bahaya yang

dapat terjadi.
Do the employees have already know the dangerous
that could be happened?

3 Apakah pekerja sudah di beri tahu tentang keharusan

memakai APD.
Do the employees already know the mandatory PPE?

4 Apakah area kerja sudah di amankan dari

kemungkinan sumber bahaya lain disekitarnya.
Is the work area already cleared from possible
hazard?

5 Apakah kondisi kecepatan angin sudah

diperhitungkan.
Is wind flow considered?

6 Apakah area kerja sudah dilengkapi dengan Safety

Lines/ Safety Net.
Is the work area already provided with safety line or
safety nets?

7 Apakah Safety Lines / Net sudah dipasang dengan kuat

dan benar.
Is the safety line properly installed?

8 Apakah kondisi Safety Line/ Net masih

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YES/ NO/ REMARKS/

NO DESCRIPTIONS / URAIAN
YA TIDAK KETERANGAN
baik/kuat/tidakrusak.
Is the safety line/ net in good condition? Is it still
strong enough and not broken?

9 Apakah diperlukan system pengaman jatuh yang lain

(khusus).
Is any fall protection system needed?

10 Apakah tangga untuk naik/turun telah dilengkapi.

Is a ladder for going up and down provided?

11 Apakah tangga dalam dalam kondisi baik/ memenuhi

syarat.
Is the ladder in good condition?

12 Apakah bagian bawah tangga dilengkapi dengan dudukan

(shoes).
Is the bottom part of the ladders complete with
shoes?

13 Apakah tangga diikat dengan kuat pada bagian atas dan

bawahnya.
Are the ladders tightened in upper and bottom
position?

14 Apakah pekerja di lengkapi dengan safety

Belts/Harness.
Are the employees provided with safety belt/ safety
harness?

15 Apakah Safety Belts/ Harness memenuhi syarat/ layak

pakai.
Are the safety belt/ Harness in good condition
according the standard requirement?

16 Apakah pekerja sudah diberi tahu cara mencantolkan

safety belts/ harness dengan benar.
Do the employees have already know how to use the
safety belt?

17 Apakah pekerja harus memakai Safety Belt/ Safety Harness

tersebut
Shall employees use safety belt/ harness?

18 Apakah pencantolan Safety Belt/Harness tersebut

memungkinkan gerakan mengayun jika pekerja jatuh.
Are the Safety Belt / Harness allow to swinging
motion when the worker falls?

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YES/ NO/ REMARKS/

NO DESCRIPTIONS / URAIAN
YA TIDAK KETERANGAN

19 Apakah Scaffolding sudah terpasang dengan baik.

Is the scaffolding already installed?

20 Apakah diperlukan safetyman stand by.

Is a safetyman needed to stand by?

21 Apakah pekerjaan ini memerlukan Ijin Kerja Aman yang

lain, sebutkan.
Is a any other safety work permit required? if yes,
describe it.

PERALATAN KERJA YANG DIPERGUNAKAN . ALAT PELINDUNG DIRI & PENGAMAN YANG DIPERGUNAKAN
EQUIPMENT OR TOOLS NEEDED PPE (PERSONNAL PROTECTIVE EQUIPMENT)

Scaffold Mesin las Helmet Safety Belts

Welding Machine

Crane Compressor Safety Shoes Safety Harness

Ladder Ear Plug/Muff Safety Glasses

Rope Dust Mask Safety Gloves

Saya sudah melihat, memeriksa dan meyakinkan sendiri bahwa pekerjaan tersebut dapat dilaksanakan dengan aman.
Apabila timbul keadaan yang membahayakan maka pekerjaan agar segera saya hentikan.
I have checked and made sure that this job save to execute. If any dangerous situation occurs that will
be hazardous to the employee or property, I will directly to stop the execution.

Yang Memeriksa Mengetahui

Reviewed By, Approved
Checked By, Acknowledge By

Supervisor Superitendent/ coord HSE Supervisor/ Officer Client Reprecentatives

PEKERJAAN TANGGAL JAM DIKETAHUI HSE REK/ PARAF

Job activity Date Time Acknowledge by HSE REK/ Sign

Selesai
Finish

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7.2 Scaffolding Inspection Form

Project :

Supervisor: Date :

ITEM SPECIFICATION Y/N REMARKS

FOUNDATION Is the floor/ground able to support the load?
/ PONDASI Apakah lantai / tanah mampu menahan beban?
Are sole boards required and used?
Apakah landasan kayu dibutuhkan dan digunakan?
Are sole plates/base jack used?
Apakah landasan plat/Landasan berulir digunakan?
Are wedge/swivel feet needed and used?
Apakah penyekat/landasan berputar diperlukan dan digunakan?
FRAME/ Are the vertical (standards) level?
KERANGKA Apakah kerangka vertikal (standard) tegak lurus?
Are the horizontals (ledgers) level?
Apakah kerangka horizontal mempunyai ketinggian yang sama?
Are all required transoms in place?
Apakah seluruh transom ada pada tempat yang tepat?
Is the scaffold adequately braced?
Apakah perancah mempunyai penyangga yang cukup?
Are there sufficient ties?
Apakah ada ikatan yang kurang?
Are the couplers locked and tight?
Apakah semua klem-klem terkunci dan kuat?
Are joint in ledgers correctly positioned?
Apakah posisi sambungan antar ledger sudah benar?
Are lift heights not more than 2 meters?
Apakah ketinggian lift melebihi 2 meter?
Are joints in standards secured?
Apakah posisi sambungan antar standard sudah benar?
PLATFORM/ Is the platform wide enough?
LANTAI Apakah lantai kerja mempunyai lebar yang memadai?
KERJA
Are the wooden boards tied down? Apakah
papan kayu terikat dengan baik?
Are the boards/planks in good condition? Apakah
kondisi papan memenuhi persyaratan?
Are the gaps beetwen planks exceeds 25mm?
Apakah celah antar masing-masing papan lantai kerja melebihi
25mm?

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ITEM SPECIFICATION Y/N REMARKS

Are toe boards provided and secured?

Apakah papan pengaman peralatan disediakan dan aman?
Are mid rails provided?
Apakah pagar pelindung tersedia?
Are hand rail provided?
Apakah pagar pelindung tersedia?
Is platform constructed for required loadings?
Apakah konstruksi lantai kerja sesuai dengan beban yang ada?
Is the platform free of material/waste?
Apakah lantai kerja bebas /bersih dari material?
ACCES/ Is good access to the platform provided?
JALAN Adakah jalan masuk ke lantai kerja yang memadai?
MASUK
Is the access correctly secured and clear?
Apakah jalan masuk ke lantai kerja sudah aman dan bersih?
Are rest platforms provided?
Apakah tempat beristirahat di sediakan?
Are open ends provided with knee and hand rails? Apakah
ujung yang terbuka dilengkapi dengan pagar dan
pegangan tangan?
Are ladders installed correctly?
Apakah tangga terpasang dengan benar?
Are rest platforms free of material/waste?
Apakah tempat istirahat bebas/bersih dari material?
AREA Apakah perlindungan untuk umum (baricade,dll) tersedia? Is
Public protection provided?
Apakah jarak dengan jalur kabel listrik sudah benar? Is
Clearance to power lines satisfactory?
Apakah kabel listrik sudah terlindungi? Is
power Lines protected?
Apakah pergerakan kendaraan terkendali? Are
vehicle movement controlled?
Apakah pergerakan crane terkendali?
Are Crane movement controlled?
Apakah ada penggalian atau parit di sekitar perancah? Are the
around of scaffold No local trencing or excavation?
GENERAL/ Is the scaffold correctly tagged?
UMUM Apakah perancah telah diberi tag dengan benar?
Are the inspections up to date?
Apakah tanggal inspeksi masih berlaku?
Are the ispector’s particulars on the tag?
Apakah tercantum data inspector?

HSE INSPECTOR

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